Organization Active NPI

Jeffrey Scott Terry

Doing business as The Medicine Shoppe

  • Community/Retail Pharmacy
  • Baytown, TX
National Provider Identifier
1912042540
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19590 Issued in TX
Legal business name
JEFFREY SCOTT TERRY
Doing business as
The Medicine Shoppe
Practice address
2007 N Main St
Baytown, TX 77520-2746
Phone
(281) 427-7333
Fax
(281) 427-0815
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Terry, RPH
Title
Owner Pharmacist
Phone
(281) 427-7333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 19590 TX Primary

Addresses

Primary practice location

2007 N Main St
Baytown, TX 77520-2746

Mailing address

2007 N Main St
Baytown, TX 77520-2746

Other identifiers 2

IdentifierTypeStateIssuer
144876MedicaidTX
4509379OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • The Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

2007 N Main St
Baytown, TX 77520
Phone (281) 427-7333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912042540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N MAIN ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N MAIN ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202746",
            "telephone_number": "281-427-7333",
            "fax_number": "281-427-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY SCOTT TERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "281-427-7333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144876",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4509379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.